George G Ghattas, DPT
Individual provider Active NPI Physical Therapist · Visalia, CA
NPI 1366098709 · NPPES record last updated Aug 12, 2019
Key facts
- NPI
- 1366098709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT296694 (CA)
- Practice address
- 1870 S Central St
Visalia, CA 93277-4418 - Phone
- (559) 636-1200
- Fax
- (559) 636-1260
- NPI assigned
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision Rehabilitation and Orthopedic Physical Therapy Inc
Practice addresses (Care Compare)
1870 S Central St
Visalia, CA 93277-4418
Phone (559) 636-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191003001774 | CA | Practitioner - Physical Therapist in Private Practice | 4284965385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT296694 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200
701 W Center Ave
Visalia, CA 93291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT296694 | CA | Yes |
Addresses
Primary practice location
1870 S Central St
Visalia, CA 93277-4418
Mailing address
701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806
Other providers in Visalia, CA
- Tigran Ian Gevorkian
- Ajay Ghai
- Ash Ghaly
- Shiraz Ghanimian
- Zahra Gharraee
- Gary N Gibbs
- Matthew Gibbs
- Todd A Gibbs
- Dianna Gibson
- India Sheree Gibson
All providers in Visalia, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.